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l <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />7373 Sherman S[., Room 275 <br />Denver, CO 80203 <br />303 866-3567 <br />Fax: 303 832-8706 <br />OF'COCO <br />a~ . R~ <br />„~%Q$ <br />. i~~' <br />/976 ~ <br />~7 G Z RaY Ramer. <br />Z C~ ' j J Govamor <br />Free q. Banta. <br />DATE : ,4 , <br />D~wision Director <br />T0: Administrative Services <br />FROM: Debbie MuTloy, Staff Assistant <br />RE: Request for Refund and Distribution of Prior Deposited Funds <br />Request Warrant Payable to: ~ ~/,~~//i~,~l/__ ~s°!'/iin ~ fia.`, //J C' <br />et efund Amount E 7J ~ • U ~ from Agency PKA, fund 900, BS Account <br />-276(}; Rptg Cat. - -•.~ <br />Interest Due S % ~(cJ from Agency PKA, Fund 100, Cash Acct 1100, Appr. <br />Code 011, GBL 110D, Program MNRC. <br />Penal ty Deposited S /Z'G'~D , ~%~, Date: '~~~/J~ <br />Deposit Doc. ID /~/' ~'j<A `1-~(~r~,Gc~}ZAydjusted Penalty ~•JZ. ~J- <br />.>` _irs <br />RffUND AMOUNT 7,S,r J- (includes interest from %~'~-; to ~1.i!y; j <br />Interest Rate ~=. <br />PLEASE WARRANT 70 THE ATTENTION OF DEBBIE MULLOY, ROOM 215, CENTENNIAL BLDG. <br />93 ~ ~ ~` <br />r -~r <br />iana L. Heyer, Administra{~i7~e Officer <br />MINED LAND RECLAMATION INFORMATION ONL'f: <br />Company: ~,/> <br /> <br />Address: % <br />File ilo.: ,~ - Y - ~ %~ ~ Violation No. ~~ -%.r'- ~~ ~ - <br />Warranty Received: Warranty Mailed <br />'~` 5~/- ~~~' do2 ~ y~ ~/~ <br />4799E <br />